{
  "abstract": "Follow-up after acute pulmonary embolism (PE) is important to assess recovery, consider the need for on-going anticoagulation and identify chronic thromboembolic pulmonary hypertension (CTEPH), a rare but serious complication of PE. 16 dilemmas in the follow-up of acute PE were identified by a steering committee of four pulmonologists and a haematologist with interest in PE and/or CTEPH. Current literature was reviewed and a practical approach suggested based on expert consensus. Dilemmas discussed included: (1) how to manage a breathless patient; (2) what to do if CTEPH is suspected; (3) the difference between CTEPH and post-PE syndrome, (4) testing for thrombophilia, (5) when to investigate for cancer, (6) anticoagulation duration and dose, (7) approaches to discussions and decision-making with respect to anticoagulation, (8) use of aspirin and whether antiplatelet therapy should be stopped during anticoagulation and (9) advice for patients on discharge from hospital at 3 months and information for first-degree relatives. Given the occurrence of complications that may require assessment, follow-up of patients post-PE should be systematic and consider the individual needs of the patient.",
  "authors": [
    {
      "affiliations": [
        "Division of Population Medicine, Cardiff University School of Medicine, Cardiff, UK"
      ],
      "name": "Raza Alikhan"
    },
    {
      "affiliations": [
        "National Pulmonary Hypertension Service, Hammersmith Hospital, London, UK"
      ],
      "name": "Luke S Howard"
    },
    {
      "affiliations": [
        "Scottish Pulmonary Vascular Unit, Golden Jubilee National Hospital, Glasgow, UK"
      ],
      "name": "Martin Johnson"
    },
    {
      "affiliations": [
        "Medical Affairs Department, Janssen-Cilag, High Wycombe, UK"
      ],
      "name": "Shruti Sweeney"
    },
    {
      "affiliations": [
        "Sheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK",
        "University of Sheffield and NIHR Biomedical Research Centre, Sheffield, UK"
      ],
      "name": "David G Kiely"
    },
    {
      "affiliations": [
        "Pulmonary Vascular Diseases Unit, National Pulmonary Hypertension Service, Royal Papworth Hospital, Cambridge, UK"
      ],
      "name": "Joanna Pepke-Zaba"
    }
  ],
  "title": "Practical guide to management after an acute pulmonary embolism",
  "uid": "138e19be-6ab5-5548-92d7-352e94ddafac"
}